West Maui Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1849 Issued in HI

Legal business name

WEST MAUI DENTAL

Practice address

845 Wainee St
Unit 206
Lahaina, HI 96761-2321

Phone

(808) 661-4700

Fax

(808) 661-9700

NPI assigned

Dec 21, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jocelyn Hidalgo Redona, DDS

Title

Owner

Phone

(808) 661-4700

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1487983466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 WAINEE ST",
            "address_2": "UNIT 206",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967612321",
            "telephone_number": "808-661-4700",
            "fax_number": "808-661-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 WAINEE ST",
            "address_2": "UNIT 206",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967612321",
            "telephone_number": "808-661-4700",
            "fax_number": "808-661-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MAUI DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "REDONA",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "HIDALGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-661-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Kennedy Walsh, MPT
• Dianna M Walton, D.C.
• Stevan Walton, D.C.
• Gary Michael Weiss, M.D.
• Susan Gale Welck, LMT
• Brittany M West, PTA
• Kimberly Jean West, LMHC
• Knox Ruder Harris Weymouth
• Brenna White
• Patricia Ann White, MFT

• General Practice Dentistry in Lahaina, HI
• Providers in Lahaina, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.